Provider Demographics
NPI:1588867824
Name:FRANKO, TAMA ANN (DDS)
Entity type:Individual
Prefix:DR
First Name:TAMA
Middle Name:ANN
Last Name:FRANKO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:545 4TH AVE S
Mailing Address - Street 2:STE B
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33701-4408
Mailing Address - Country:US
Mailing Address - Phone:727-822-3314
Mailing Address - Fax:727-821-0357
Practice Address - Street 1:545 4TH AVENUE S.
Practice Address - Street 2:STE B
Practice Address - City:ST. PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33701
Practice Address - Country:US
Practice Address - Phone:727-822-3314
Practice Address - Fax:727-821-0357
Is Sole Proprietor?:No
Enumeration Date:2007-06-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVDN00107481223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice